FORM 1023-EZ for OUT OF EGYPT SINGLE MOTHERS MINISTRY

Field Data
EIN 84-3921342
Case Number EO-2019364-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUT OF EGYPT SINGLE MOTHERS MINISTRY
Organization’s Mailing Address 2618 184TH STREET COURT EAST
City TACOMA
State WA
ZIP 98445
Accounting period End 10
Primary contact name CHARLOTTE BLOUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY BARNES
PRESIDENT
2618 184TH SOUTH COURT EAST
TACOMA WA 98445

Officer/Director/Trustee Two

KIM FOREST
VICE PRESIDENT
202 170TH STREET EAST
SPANAWAY WA 98387

Officer/Director/Trustee Three

TIFFANI DANNER
SECRETARY
2618 184TH SOUTH COURT EAST
TACOMA WA 98445

Officer/Director/Trustee Four

CHARLOTTE BLOUNT
TREASURER
1964 BOBS HOLLOW LANE
DUPONT WA 98327

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLOTTE BLOUNT
Signature Title TREASURER
Signature Date 12/27/2019

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